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4526 5TH DR SE 2016-01-01 MF Import
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4526 5TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 10:51:22 AM
Creation date
4/3/2017 10:51:16 AM
Metadata
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Template:
Address Document
Street Name
5TH DR SE
Street Number
4526
Imported From Microfiche
Yes
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. PUBLIC WORKS Da1e %iEi26,�, <br /> Public Works Permit k1�Vf1507-019 � <br /> PERMIT C�ti��-��» <br /> 9uilding Permit# <br /> PUBLIC WORKS DEPARTMENT Planning Reterence k <br /> 3200 Cedar Slreel <br /> Everelt,WA 98207 Public Works Fee S ��y,p 0 <br /> (425)257�9810 <br /> Guarantcc S <br /> OY/NER I:AM • d . . CF.EbX. LLC APPLICAN�NAMF <br /> AND ADDHES�.�� E��y �1�_� AND ADDHESS' <br /> cLi�rr��T� Wa �p`='�; TO POST'NG APR 0 9 2U06 <br /> aiioNe 9�E:'38��'9 rr+oNr _ <br /> V�XPARC[LI.D.aO].UI91�iU;�.i(�_�411ii IPROJ[CTADDRES�:i;:.i; y�: DF. SE NLOI IB <br /> �'':':'fi 5 . . <br /> DESCRIPiION OF <br /> PROPOSEU WORK. <br /> Pf_RMIT CONDITIONS <br /> CnMEEF.L? Li�T 15 <br /> 1. All calls for inspection shall be made 24 hours in advance -phone (425)257-8810 <br /> 2. All work shall be perlormed in accordance with this permil and current City of Everetl Design and Conslruction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. �'onne.r ::ide :;ew=c �,.=c City :,'_:+od.s��+ q6�11, H <br /> .` . r_onne�•� c�:oitc,p �:lownsp"ut:: .•_�. :`i=- .:ieaina_I^ ::y'-%cerc� pr:�v.�cle.:i ic,i ch:s ioc . <br /> '�A <br /> , . , . .. . . .. " ._.�. . <br /> V! <br /> _ ,� Si.l <br /> •.;;'- i 'c�'3 � �i � � O <br /> �:r�i� ni ... <br /> �.". ^ <br /> �� + <br /> ii J � Z <br /> � �� O <br /> .1 <br />� . ',." c.+ ur <br /> r. ` <br /> '_'..'.!..r�' w . r <br /> � .• �•.r��v. n a/J r— E31 F-- � <br /> cn' m.-.-..i"r��--�,e+Am <br /> I `"I�}t'�1.;�J��c:��trI O r_>.a:� <br /> ,} l.'I . .� � _. . .�~�� O <br /> a <br /> ACKNOWLEDGEMFNT OF CO.'JDITIONS <br /> / Thc undcrsi�r�ed ownerlapplicant here'�y agrees to holA and <br />' �1.� _..7� 7 / 4 �j save hannless the City ot Everett Irom any and all claims lor <br /> n ,�,:ve<�ior Consuur.�an D e � damages.costs,expenses,or causes ol action that may arise <br /> because ol installation and maintenance of the imprcaement or <br /> fother right-obway use herelo applied lor and lurther agrees to <br /> Q-��' y-- f' ��-"� �- �` �~<�� - � �' remove same on notice irom the City and to replac�public <br /> FINAL INSPECTIO�1 propetly � ta therCb <br /> A�)�1tpV@d l5 COI151f11L�C(1 Od�? —�• <br /> / <br /> Signalure ol Applic�n Date <br /> WORK AUTHORIZED BY ThI15 PERMIT MUST�E S7ARTED WITIiIN 180 DAYS OF DATE PERMI7151SSUED AN�THEREAF7ER IS TO BE�ILIGENTLY f'URSUEO <br /> TO COMPL[TION.THIS PERh11T R1AY BE CANCEL�ED BY THE CITV UPON ANY STOPPAGE OP YlORK ON THIS PROJECT OVFR 90 DAYS DURATION. <br />
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